Individual provider Active NPI

Kathleen Gibbons

  • Physician Assistant
  • Frostburg, MD
National Provider Identifier
1669876678
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C07532 Issued in MD
Practice address
10701 New Georges Creek Rd SW
Frostburg, MD 21532-1457
Phone
(301) 689-3229
NPI assigned
Oct 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C07532 MD Primary

Addresses

Primary practice location

10701 New Georges Creek Rd SW
Frostburg, MD 21532-1457

Mailing address

PO Box 1671
Cumberland, MD 21501-1671

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kgibbons100042@upmc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141216001740 PA Practitioner - Physician Assistant 5294057659 Reassigns benefits to 3 organizations
I20200430002581 MD Practitioner - Physician Assistant 5294057659 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1050 W Industrial Blvd
Cumberland, MD 21502-4331

10701 New Georges Creek Rd SW
Frostburg, MD 21532-1457

12500 Willowbrook Rd
Cumberland, MD 21502-6393
Phone (240) 964-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medicine Inc CurrentSince Nov 14, 2016 Accepting new patients
Orthopaedic Associates of Reading LTD CurrentSince Oct 20, 2014 Accepting new patients
Upmc Western Maryland Corporation CurrentSince May 4, 2020 Accepting new patients
Upmc Altoona Regional Health Services, Inc CurrentSince Nov 1, 2018 Accepting new patients
Upmc Western Maryland Health Services, LLC CurrentSince Jan 1, 2023 Accepting new patients
Orthopaedic Associates of Reading LTD CurrentSince Oct 20, 2014 Accepting new patients
Upmc Community Medcine Inc CurrentSince Nov 14, 2016 Accepting new patients
Upmc Western Maryland Corporation CurrentSince May 4, 2020 Accepting new patients
Upmc Western Maryland Health Services, LLC CurrentSince Jan 1, 2023 Accepting new patients
Upmc Western Maryland Corporation Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

10701 New Georges Creek Rd SW
Frostburg, MD 21532
Phone (301) 689-2941

1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621

118 S Anderson St
Ste 1
Bedford, PA 15522
Phone (814) 623-2146

249 Hospital Dr
Everett, PA 15537
Phone (814) 623-1166

2040 Quaker Valley Rd
Fishertown, PA 15539
Phone (814) 839-4152

4885 Demoss Rd
Ste 102
Reading, PA 19606
Phone (610) 370-9980

301 S 7th Ave
Ste 3220
West Reading, PA 19611
Phone (484) 628-2663

850 Knitting Mills Way
Wyomissing, PA 19610
Phone (610) 376-8671

Interoperability endpoints

  • Direct secure messaging: kgibbons100042@upmc.direct-ci.com

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1669876678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1671",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215011671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 NEW GEORGES CREEK RD SW",
            "city": "FROSTBURG",
            "state": "MD",
            "postal_code": "215321457",
            "telephone_number": "301-689-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-20",
        "last_updated": "2026-07-30",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C07532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kgibbons100042@upmc.direct-ci.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frostburg, MD

Sources for this page

Verify at the official NPI Registry.